Risk factors for testicular germ cell tumors

Changed by Matt A. Morgan, 15 Jul 2015

Updates to Article Attributes

Body was changed:

Risk factors for testicular germ cell tumours include:

  • caucasians at higher risk than African Americans (9:1)
  • undescended testis
    • 10-40 x-40x increased risk 
    • around 10% of all tumours are associated with undescended testis
    • higher risk if intra-abdominal testis compared with intra-inguinal
    • orchidopexy prior to puberty can reduce the tumour risk
    • increased risk in the contralateral normally descended testis
  • previous tumour in contralateral testis
  • family history of testicular germ cell tumour
    • 4 x4x increase if father affected
    • 9 x9x if brother affected
  • testicular microlithiasis
    • ~8 x~8x increased risk of GCT in symptomatic testicle with microlithiasis 1
    • no increased risk found in asymptomatic testicles therefore screening is unlikely to be useful
    • overall, microlithiasis is present in around 50% of GCT cases, but it is also very common in patients without cancer
  • testicular dysgenesis 
    • testicular feminization
    • Klinefelter syndrome
  • other risk factors may include
    • infections such as HIV, mumps, orchitis 
    • history of trauma 
    • organ transplant immunosuppression

See also

  • -<li>10-40 x increased risk </li>
  • +<li>10-40x increased risk </li>
  • -<li>4 x increase if father affected</li>
  • -<li>9 x if brother affected</li>
  • +<li>4x increase if father affected</li>
  • +<li>9x if brother affected</li>
  • -<li>~8 x increased risk of GCT in symptomatic testicle with microlithiasis <sup>1</sup>
  • +<li>~8x increased risk of GCT in symptomatic testicle with microlithiasis <sup>1</sup>
  • -<li>infections such as HIV, mumps, <a href="/articles/orchitis">orchitis</a> </li>
  • +<li>infections such as HIV, <a href="/articles/orchitis">orchitis</a> </li>

ADVERTISEMENT: Supporters see fewer/no ads

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.